Prior Auth Required

02421 - Lexington, MA . Revised 06/24

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceLexington, MA . Revised 06/24
Procedure / Service Description

Accessed - required. 2 ADZYNMA (ADAMTS13, recombinant-krhn) prescribing information, Takeda Pharmaceuticals U.S.A., Inc., 2/2024 Lexington, MA 02421. Revised 06/24 3 NORD Congenital Thrombotic Thrombocytopenic Purpura. Disease Overview. Available at: 2/2024 https://rarediseases.org/gard-rare-disease/congenital-thrombotic-thrombocytopenic-purpura/

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.